Clinical characteristics of mismatch cases
Age (y)/Sex | Duration | TIAs | vDWI | vPWI | Echocardiography | Carotid Duplex Sonography | Angiography | MRA | MRI | Therapy | Etiology |
---|---|---|---|---|---|---|---|---|---|---|---|
64/M | 12 h | 4 | 6.1 | 18.4 | TTE: Dilatation L atrium | L carotid occlusion | Severe L ICA stenosis | Absent L ICA | Cortical acute infarcts R MCA territory | CEA | LAA |
56/M | 20 min | 2 | 14.9 | 26.8 | TTE: Normal | Unremarkable | Not performed | Unremarkable | Acute subcortical infarct L MCA territory | BP increased, MAP >100 mm Hg; IV heparin + oral aspirin | CE |
61/M | 20 min | 2 | 0 | 245.7 | TEE: Global systolic dysfunction, inferior-wall akinesis, decreased ejection fraction (40%), moderate aortic atherosclerosis | Occlusion L CCA, 60% stenosis R ICA | Not performed | L ICA occlusion, stenosis of L MCA branches | 2 small, old R MCA infarcts, mild periventricular leukoaraiosis | BP increased, IV heparin + oral aspirin | LAA |
67/F | 30 min | 2 | 1.5 | 21.1 | TTE: Normal | Severe ICA stenosis, flow reversal on ophthalmic artery | R carotid stenosis | Irregular supraclinoid L ICA | Scattered small acute infarcts, watershed distribution in R MCA | CEA | LAA |
42/F | 20 min | 1 | 0 | 372 | Not performed | Not performed | L MCA stenosis with distal occlusion | L MCA occlusion | Unremarkable | EC-IC bypass | LAA |
71/F | 4 h | 3 | 5.5 | 44 | TTE: Normal | Not performed | L MCA (M1) stenosis | L MCA (M1) stenosis | L posterior corona radiata acute ischemia | Warfarin | LAA |
63/M | 20 s | Multiple | 0 | 28.2 | Not performed | 60% stenosis R ICA | Severe L cavernous ICA stenosis, tandem stenosis bilateral ACAs | L cavernous ICA stenosis, bilateral ACA stenosis | Old confluent subcortical areas of leukomalacia in both frontal lobes, moderate leukoaraiosis | Balloon angioplasty | LAA |
Note.—BP indicates blood pressure; IV intravenous; TEE, transesophageal; TTE, transthoracic.